News & Analysis

CMS adds comprehensive APC logic in January quarterly I/OCE update

March 1, 2015
Briefings on APCs

The January quarterly I/OCE update includes new modifiers, changes related to expanded packaging, and continued refinement of CMS' skin substitutes categories, but the biggest change for outpatient hospitals is the implementation of comprehensive APCs (C-APC).

Note from the Instructor: Review of hospital inpatient mental health services payable under the inpatient psychiatric facility prospective payment system (IPF PPS)

February 24, 2015
Medicare Insider

This week’s note is about inpatient psychiatric billing. Click the link above for more information and an in-depth analysis. 

Note from the Instructor: Implanted Devices Received for Free in Clinical Trials or as Sample

February 17, 2015
Medicare Insider

This week’s note is about free and discounted devices. Click the link above for more information and an in-depth analysis.

Note from the instructor: Review of hospital partial hospitalization outpatient mental health services

February 10, 2015
Medicare Insider

This week’s note is about partial hospitalization psychiatric services claims. Click the link above for more information and an in-depth analysis.

Note from the Instructor: Review of hospital non-partial hospitalization outpatient mental health services

February 3, 2015
Medicare Insider

This week’s note is about claims with outpatient psychiatric services. Click the link above for more information and an in-depth analysis.

CMS updates outpatient supervision level documents

February 1, 2015
Briefings on APCs

In December 2014, CMS posted a document on its Advisory Panel on Hospital Outpatient Payment (HOP Panel) website outlining the hospital outpatient therapeutic services that were recently evaluated for a change in supervision levels. The three-page document contains a chart that includes the HCPCS code, the level of supervision required for coverage, and the effective dates of the changes for various services.

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